Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 06536 | Date 25/09/2019 |
| Token No | SM/21-22/8227 29/12/2021 | Serial | 010 Last Visit: 29/10/2024 |
| Patient Name | Mr. SOURAV CHAKRABORTY | Contact No | 9339620741 |
| Address | 62 THAKURDAS BABU LANE | Age | 21 Years,10 Months,15 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||